Attachment A - Carbondale Campus (including SOM) - Signature of Board Treasurer Delegation of Authority to Sign - 9.30.2022

Sep 19, 2026

Attachment A lists signatory delegation authority for the Carbondale Campus, including SOM, with board treasurer authorization and a dated signature section (9.30.2022). It provides names, titles, departments, and indicates whether each person is a primary or secondary delegate. The attachment also enumerates the specific tax and information return forms authorized for signature, including federal IRS forms (e.g., 1096, 1099 series, 8809, 941, W-2/W-3, 1094-C/1095-C) and state Illinois forms.

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Signature of Board Treasurer - Delegation of Authority to Sign

Carbondale Campus (including SOM)

Names, Titles, Departments, and Delegation Type

Authorized Tax and Information Return Forms

Attachment A Carbondale Campus (including SOM) Signature of Board Treasurer-Delegation of Authority to Sign 9.30.2022 Name Title Department Forms Authorized to Sign Primary or Secondary Delegation Charlie Cox Jeff Wright Jennifer Nadeau Brian Kerley Jennifer Stillman Jill Kirkpatrick Clay Cochran Director Chief Accountant Accountant II Accountant III Administrative Coordinator Bursar Business/Admin Associate Accounting Services Accounting Services Accounting Services Accounting Services Bursar Bursar Human Resources IL Form ST-1, Sales and Use Tax and 911 Surcharge Return IL Form RHM-1, Hotel Operators' Occupation Tax Return IRS Form 1096, Annual Summary and Transmittal of U.S. Information Returns IRS Form 1099-MISC, 1099-NEC, 1099-K, 1099-INT and 1099-C Illinois Form 1099-MISC, 1099-NEC, 1099-K, 1099-INT and 1099-C IRS Form 8809, Application for Extension of Time to File Information Returns Other State Sales Tax Forms as needed IRS Form 1096, Annual Summary and Transmittal of U.S. Information Returns IRS Form 8809, Application for Extension of Time to File Information Returns IRS Form 1099-MISC, 1099-NEC, 1099-K, 1099-INT and 1099-C IRS Form 8809, Application for Extension of Time to File Information Returns IRS Form 1098-C, Contributions of Motor Vehicles, Boats and Airplanes Illinois Form 1099-MISC, 1099-NEC, 1099-K, 1099-INT and 1099-C IL Form ST-1, Sales and Use Tax and 911 Surcharge Return IL Form RHM-1, Hotel Operators' Occupation Tax Return Other State Sales Tax Forms as needed IRS Form 1096, Annual Summary and Transmittal of U.S. Information Returns IRS Form 1098-T, Tuition Statement IRS Form 8300, Report of Cash Payments Over $10,000 IRS Form 8809, Application for Extension of Time to File Information Returns IRS Form 1096, Annual Summary and Transmittal of U.S. Information Returns IRS Form 1098-T, Tuition Statement IRS Form 8300, Report of Cash Payments Over $10,000 IRS Form 8809, Application for Extension of Time to File Information Returns IRS Form 1094-C, Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns IRS Form 8809, Application for Extension of Time to File Information Returns IRS Form 1095-C, Employer-Provided Health Insurance Offer and Coverage Primary Primary Primary Secondary Secondary Primary Primary Secondary Secondary Primary Primary Primary Primary Secondary Secondary Secondary Primary Primary Primary Primary Secondary Secondary Secondary Secondary Primary Primary Primary Attachment A Carbondale Campus (including SOM) Signature of Board Treasurer-Delegation of Authority to Sign 9.30.2022 Name Title Department Forms Authorized to Sign Primary or Secondary Delegation Sue Jennings Liz Franklin Business/Administrative Associate Administrative Aide Human Resources Human Resources IRS Form 941, Employer's Quarterly Federal Tax Return IRS Form 941-X, Adjusted Employer's Quarterly Federal Tax Return or Claim for Refund IRS Form W-2, Wage and Tax Statement IRS Form W-3, Transmittal of Wage and Tax Statements IRS Form W-3C, Transmittal of Corrected Wage and Tax Statements IRS Form 8809, Application for Extension of Time to File Information Returns IL Form IL-941, Withholding Income Tax Return IL Form IL-941-X, Amended Withholding Income Tax Return IRS Form 1094-C, Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns IDES Form UI-3/40, Employer's Contribution and Wage Report CA Form DE-88, Payroll Tax Withholding IRS Form 941, Employer's Quarterly Federal Tax Return IRS Form 941-X, Adjusted Employer's Quarterly Federal Tax Return or Claim for Refund IRS Form W-2, Wage and Tax Statement IRS Form W-3, Transmittal of Wage and Tax Statements IRS Form W-3C, Transmittal of Corrected Wage and Tax Statements IRS Form 8809, Application for Extension of Time to File

FAQs

What is Attachment A for?

Attachment A documents the delegation of authority to sign for the Carbondale Campus (including SOM), including board treasurer signatory authorization and delegation details.

How are signatories classified in the attachment?

Each listed person is marked as either primary or secondary delegation in the signatory delegation section.

Which types of forms are authorized to be signed?

The attachment lists authorized federal and Illinois forms, including IRS information returns, wage and tax statements, extension applications, and employer-provided health insurance offer/coverage transmittals.

Sep 19, 2026

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